Distress Manifestations Experienced and Coping Strategies Employed by Patients with End-Stage Renal Disease


Authors : Mary Khristine F. Adan

Volume/Issue : Volume 9 - 2024, Issue 1 - January

Google Scholar : http://tinyurl.com/2kz9cmkx

Scribd : http://tinyurl.com/4sdfudfh

DOI : https://doi.org/10.5281/zenodo.10579776

Abstract : The increasing population of end-stage renal disease (ESRD) in the country is apparent and crucial. ESRD patients experience enormous distress and to cope with the difficulties faced by these individuals is immensely relevant to alleviate their suffering and improve quality of life. The present study aimed to determine the level of distress manifestations experienced and the extent of coping strategies employed by patients with ESRD in the hemodialysis unit of a private tertiary hospital in Naga City, Camarines Sur. This study employed the sequential explanatory mixed method of research. Thirty respondents who were diagnosed with ESRD, aged 18 and above, and underwent weekly hemodialysis treatment were included in the study. A quantitative (descriptive-evaluative) approach was used to determine the level of distress manifestations experienced by the ESRD patients along physical, mental, psychological, psychosocial, and spiritual; and determined the extent of coping strategies employed along the five distress manifestations experienced. The qualitative approach was made by conducting an in-depth interview to explore the other contributory factors of coping strategies employed by ESRD patients. Based on the results of the study, it was concluded that the level of distress manifestations experienced by ESRD patients were as follows: a.) physical- low; b.) mental- low; c.) psychological- low; d.) psychosocial- low; e.) spiritual- very low. Whereas the extent of coping strategies employed by ESRD patients along the five areas were the following: a.) physical- high; b.) mental- moderate; c.) psychological- very high; d.) psychosocial- moderate; e.) spiritual- high. The identified other contributory factors of coping strategies employed by ESRD patients were: a) strong support system, b) strengthened spirituality c) stable financial support, d) aid of the medical team (nurses and doctors), and e) adaptation. The researcher designed an intervention plan to help patients employ coping strategies that will lessen distress and adapt to their disease situation, therefore, achieve well-being and quality of life.

Keywords : Adaptation, Mental, Physical, Psychological, Psychosocial, Spiritual.

The increasing population of end-stage renal disease (ESRD) in the country is apparent and crucial. ESRD patients experience enormous distress and to cope with the difficulties faced by these individuals is immensely relevant to alleviate their suffering and improve quality of life. The present study aimed to determine the level of distress manifestations experienced and the extent of coping strategies employed by patients with ESRD in the hemodialysis unit of a private tertiary hospital in Naga City, Camarines Sur. This study employed the sequential explanatory mixed method of research. Thirty respondents who were diagnosed with ESRD, aged 18 and above, and underwent weekly hemodialysis treatment were included in the study. A quantitative (descriptive-evaluative) approach was used to determine the level of distress manifestations experienced by the ESRD patients along physical, mental, psychological, psychosocial, and spiritual; and determined the extent of coping strategies employed along the five distress manifestations experienced. The qualitative approach was made by conducting an in-depth interview to explore the other contributory factors of coping strategies employed by ESRD patients. Based on the results of the study, it was concluded that the level of distress manifestations experienced by ESRD patients were as follows: a.) physical- low; b.) mental- low; c.) psychological- low; d.) psychosocial- low; e.) spiritual- very low. Whereas the extent of coping strategies employed by ESRD patients along the five areas were the following: a.) physical- high; b.) mental- moderate; c.) psychological- very high; d.) psychosocial- moderate; e.) spiritual- high. The identified other contributory factors of coping strategies employed by ESRD patients were: a) strong support system, b) strengthened spirituality c) stable financial support, d) aid of the medical team (nurses and doctors), and e) adaptation. The researcher designed an intervention plan to help patients employ coping strategies that will lessen distress and adapt to their disease situation, therefore, achieve well-being and quality of life.

Keywords : Adaptation, Mental, Physical, Psychological, Psychosocial, Spiritual.

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